Chowchilla, CA

Chowchilla Memorial Healthcare District

3-star overall rating with 3-star inspections with $143,246 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

1104 Ventura Ave., Chowchilla, CA

(559) 665-3781

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

29

Certified beds

Average residents

27

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-10-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.30

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

3.17

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.40

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

4.11

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

4.63

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,599

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

55.38

Composite VBP score used to determine payment impact.

Payment multiplier

1.0104

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

5.97

Baseline 45.16% · Performance 39.29% · Measure score 5.97 · Achievement 5.97 · Improvement 2.39

Adjusted total nurse staffing

5.11

Baseline 5.10 hours · Performance 4.53 hours · Measure score 5.11 · Achievement 5.11 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.02%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 28 · Observed rate 10.71% · Lower 95% interval 6.7%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.02
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 7.02%
8.2%
1.2 pts worse
Numerator 4 · Denominator 57
Staff flu vaccination coverage 95.31%
42%
53.3 pts better
Numerator 61 · Denominator 64
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.7
2.3
1.6 pts better
1.9
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.4 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.6
0.5 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.7 · Expected 1.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
98.2%
1.8 pts worse
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.0%
6.8%
4.8 pts better
11.4%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 4.2% · 4Q avg 2.0%
Percentage of long-stay residents who lose too much weight 1.4%
4.1%
2.7 pts better
5.4%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 1.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.2%
13.7%
17.5 pts worse
19.6%
11.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 27.3% · 4Q avg 31.2%
Percentage of long-stay residents who received an antipsychotic medication 21.0%
14.2%
6.8 pts worse
16.7%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 28.7%
11.0%
17.7 pts worse
16.3%
12.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 24.7%
10.7%
14 pts worse
14.9%
9.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 27.3% · 4Q avg 24.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.0%
1.0%
4 pts worse
1.0%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 4.8% · Q3 3.9% · Q4 3.8% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.4%
10.9%
20.5 pts worse
19.8%
11.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 23.6% · Q3 34.4% · Q4 32.2% · 4Q avg 31.4%
Percentage of long-stay residents with pressure ulcers 11.6%
4.7%
6.9 pts worse
5.1%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 5.7% · Q3 10.5% · Q4 14.1% · 4Q avg 11.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
94.0%
4.4 pts better
81.7%
16.7 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 98.4%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-24 · Fire 2025-02-24

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-03-01 · Fire 2024-03-01

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-11-18 · Fire 2022-11-18

18 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-15

F · Potential for more than minimal harm 2025-02-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-17

E · Potential for more than minimal harm 2025-02-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-24

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-02-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-02-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-02-24

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-03-10

D · Potential for more than minimal harm 2024-03-01

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-01

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-01

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-03-22

D · Potential for more than minimal harm 2022-11-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-12-05

Inspection history

Recent health citations

G · Actual harm 2025-08-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-02-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-24

E · Potential for more than minimal harm 2025-02-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-24

E · Potential for more than minimal harm 2025-02-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-24

E · Potential for more than minimal harm 2025-02-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-02-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-02-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-02-24

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-02-24

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-04-24

D · Potential for more than minimal harm 2024-07-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-04-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-04-30

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-03-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-24

E · Potential for more than minimal harm 2024-03-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-24

E · Potential for more than minimal harm 2024-03-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-24

E · Potential for more than minimal harm 2024-03-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-24

E · Potential for more than minimal harm 2024-03-01

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-03-24

D · Potential for more than minimal harm 2024-03-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-24

G · Actual harm 2022-11-18

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-11-18

F727 · Nursing and Physician Services Deficiencies

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.

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-11-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-11-18

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-11-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-11-18

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-11-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-11-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-11-18

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-11-18

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2022-12-28

Penalties and ownership

What sits behind the stars

$4,938 2024-02-20

Fine

Fine · fine $4,938

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$14,814 2024-01-22

Fine

Fine · fine $14,814

Fine

$4,938 2024-01-08

Fine

Fine · fine $4,938

Fine

$4,587 2024-01-02

Fine

Fine · fine $4,587

Fine

$13,762 2023-12-11

Fine

Fine · fine $13,762

Fine

$4,587 2023-11-20

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-13

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-06

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-30

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-23

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-17

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-10

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-02

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-25

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-18

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-11

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-05

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-28

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-21

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-14

Fine

Fine · fine $4,587

Fine

$4,235 2023-08-07

Fine

Fine · fine $4,235

Fine

$10,586 2023-07-17

Fine

Fine · fine $10,586

Fine

$2,823 2023-06-26

Fine

Fine · fine $2,823

Fine

$2,470 2023-06-20

Fine

Fine · fine $2,470

Fine

$2,117 2023-06-12

Fine

Fine · fine $2,117

Fine

$4,233 2023-05-23

Fine

Fine · fine $4,233

Fine

Ownership

Chowchilla Memorial Healthcare District

Operational/Managerial Control · Organization

0% 1 facilities 2005-01-01
Decker, Leland

Corporate Director · Individual

0% 1 facilities 2005-01-21
Flores, Cathy

Corporate Director · Individual

0% 1 facilities 2005-01-21
Flores, Cathy

W-2 Managing Employee · Individual

0% 1 facilities 1991-07-22

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