Dinuba, CA

Dinuba Healthcare

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle

1730 South College Ave., Dinuba, CA

(559) 591-3300

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Madison Creek Partners

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.24

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.77

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.00

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

3.77

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

4.37

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,419

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

Performance score

44.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9975

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.37

Baseline 17.40% · Performance 18.48% · Measure score 6.37 · Achievement 6.37 · Improvement 0

Healthcare-associated infections

Baseline 6.36% · Performance 8.06% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.89

Baseline 80.49% · Performance 39.39% · Measure score 6.89 · Achievement 5.94 · Improvement 6.89

Adjusted total nurse staffing

4.51

Baseline 2.91 hours · Performance 4.35 hours · Measure score 4.51 · Achievement 4.46 · Improvement 4.51

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.41%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 92 · Observed rate 5.43% · Lower 95% interval 6.2%
Discharge to community	52.5%	50.57% 1.9 pts better	No Different than the National Rate · Eligible stays 66 · Observed rate 51.52% · Lower 95% interval 40.28%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	98.25%	95.27% 3 pts better	Numerator 56 · Denominator 57
Falls with major injury	1.75%	0.77% 1 pts worse	Numerator 1 · Denominator 57
Discharge self-care score	34.38%	53.69% 19.3 pts worse	Numerator 11 · Denominator 32
Discharge mobility score	34.38%	50.94% 16.6 pts worse	Numerator 11 · Denominator 32
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 57 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.06%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 9.26% · Lower 95% interval 4.24%
Staff COVID-19 vaccination coverage	6.04%	8.2% 2.2 pts worse	Numerator 11 · Denominator 182
Staff flu vaccination coverage	47.09%	42% 5.1 pts better	Numerator 89 · Denominator 189
Discharge function score	40.63%	56.45% 15.8 pts worse	Numerator 13 · Denominator 32
Transfer of health information to provider	85.71%	95.95% 10.2 pts worse	Numerator 18 · Denominator 21
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.86%	25.2% 7.3 pts worse	Numerator 5 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.3 0.6 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.1 · Expected 1.2 · 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 0.8 · Expected 1.2 · 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	100.0%	98.2% 1.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
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	0.7%	6.8% 6.1 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.3% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	8.0%	4.1% 3.9 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 9.7% · Q3 4.5% · Q4 7.5% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.7%	13.7% 2 pts worse	19.6% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 18.1% · Q3 13.4% · Q4 14.9% · 4Q avg 15.7%
Percentage of long-stay residents who received an antipsychotic medication	23.3%	14.2% 9.1 pts worse	16.7% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 24.4% · Q3 22.4% · Q4 24.5% · 4Q avg 23.3% · 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	11.7%	11.0% 0.7 pts worse	16.3% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.0% · Q3 10.7% · Q4 23.4% · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.7%	10.7% About the same	14.9% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 21.0% · Q3 4.9% · Q4 10.2% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.7%	1.0% 0.7 pts worse	1.0% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.1% · Q3 1.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	1.2% 0.6 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.9%	10.9% 1 pts worse	19.8% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 10.3% · Q3 11.1% · Q4 8.9% · 4Q avg 11.9%
Percentage of long-stay residents with pressure ulcers	6.4%	4.7% 1.7 pts worse	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.1% · Q3 6.4% · Q4 7.7% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	22.9%	11.2% 11.7 pts worse	12.0% 10.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 24.4% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.5% 0.5 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 8.3% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.2% 6.8 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.8%	23.2% 7.6 pts worse	23.9% 6.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 31.7% · Expected 24.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-18 · Fire 2024-07-18

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

22 fire-safety deficiencies

Top issue: Smoke (8 deficiencies)

Cycle 2 Health 2022-05-12 · Fire 2022-05-12

9 health deficiencies

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

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-10-17 · Fire 2019-10-17

12 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-18

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-18

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-07-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-02

C · Minimal harm 2024-07-18

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-08-02

C · Minimal harm 2024-07-18

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-08-02

C · Minimal harm 2024-07-18

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-08-02

C · Minimal harm 2024-07-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-02

E · Potential for more than minimal harm 2022-05-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-12

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-12

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-06-01

E · Potential for more than minimal harm 2019-10-17

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-10-17

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-10-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-10-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-10-17

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-10-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-01

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-11-15

F · Potential for more than minimal harm 2024-07-18

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-08-11

F · Potential for more than minimal harm 2024-07-18

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 2024-08-11

E · Potential for more than minimal harm 2024-07-18

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-07-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-11

C · Minimal harm 2024-07-18

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-08-11

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-17

G · Actual harm 2023-08-18

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 2023-08-23

F · Potential for more than minimal harm 2022-05-12

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 2022-06-13

E · Potential for more than minimal harm 2022-05-12

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 2022-06-13

E · Potential for more than minimal harm 2022-05-12

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-06-13

D · Potential for more than minimal harm 2022-05-12

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 2022-06-13

D · Potential for more than minimal harm 2022-05-12

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2022-06-13

D · Potential for more than minimal harm 2022-05-12

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-06-13

D · Potential for more than minimal harm 2022-05-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-06-13

D · Potential for more than minimal harm 2022-05-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-06-13

F · Potential for more than minimal harm 2019-10-17

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 2019-11-27

E · Potential for more than minimal harm 2019-10-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-11-27

E · Potential for more than minimal harm 2019-10-17

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2019-11-27

E · Potential for more than minimal harm 2019-10-17

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 2019-11-27

E · Potential for more than minimal harm 2019-10-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2019-11-27

D · Potential for more than minimal harm 2019-10-17

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2019-11-27

D · Potential for more than minimal harm 2019-10-17

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 2019-11-27

D · Potential for more than minimal harm 2019-10-17

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 2019-11-27

D · Potential for more than minimal harm 2019-10-17

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 2019-11-27

D · Potential for more than minimal harm 2019-10-17