8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Chowchilla, CA
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1010 Ventura Avenue, Chowchilla, CA
(559) 665-4826
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
Beds
65
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ajc Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
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
RN hours / resident day
0.35
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.78
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.28
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
4.01
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
7,122
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9861
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.39
Baseline 21.66% · Performance 20.32% · Measure score 2.39 · Achievement 2.39 · Improvement 2.39
Healthcare-associated infections
0
Baseline 10.47% · Performance 11.62% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.42
Baseline 97.62% · Performance 40.00% · Measure score 7.42 · Achievement 5.79 · Improvement 7.42
Adjusted total nurse staffing
2.46
Baseline 3.23 hours · Performance 3.78 hours · Measure score 2.46 · Achievement 2.46 · Improvement 1.63
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.37% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 9.3% · Lower 95% interval 6.65% |
| Discharge to community | 48.9% |
50.57%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 32 · Observed rate 40.63% · Lower 95% interval 35.64% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.87% |
95.27%
2.6 pts better
|
Numerator 46 · Denominator 47 |
| Falls with major injury | 4.26% |
0.77%
3.5 pts worse
|
Numerator 2 · Denominator 47 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 10 · Denominator 25 |
| Discharge mobility score | 36% |
50.94%
14.9 pts worse
|
Numerator 9 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 1 · Denominator 47 · Adjusted rate 1.57% |
| Healthcare-associated infections requiring hospitalization | 11.62% |
7.12%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 29.03% · Lower 95% interval 6.51% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 70 |
| Staff flu vaccination coverage | 97.4% |
42%
55.4 pts better
|
Numerator 75 · Denominator 77 |
| Discharge function score | 40% |
56.45%
16.5 pts worse
|
Numerator 10 · Denominator 25 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 56.52% |
25.2%
31.3 pts better
|
Numerator 13 · Denominator 23 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
2.3
0.9 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 4.1 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
1.6
2.1 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 4.6 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
98.5%
10.4 pts worse
|
93.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 79.6% · Q3 96.1% · Q4 98.1% · 4Q avg 88.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.9% |
98.2%
3.3 pts worse
|
95.5%
0.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
1.6%
2.7 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.6% · Q3 3.9% · Q4 5.8% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 48.7% |
6.8%
41.9 pts worse
|
11.4%
37.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.2% · Q2 50.0% · Q3 38.6% · Q4 49.0% · 4Q avg 48.7% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.1%
4.1 pts better
|
5.4%
5.4 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 who received an antianxiety or hypnotic medication | 20.0% |
13.7%
6.3 pts worse
|
19.6%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 19.6% · Q3 20.5% · Q4 16.3% · 4Q avg 20.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.7% |
14.2%
5.5 pts better
|
16.7%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 13.0% · Q3 6.9% · Q4 0.0% · 4Q avg 8.7% · 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 | 9.3% |
11.0%
1.7 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.4% |
10.7%
2.7 pts worse
|
14.9%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.6% · Q3 22.0% · Q4 20.0% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · 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 | 14.6% |
10.9%
3.7 pts worse
|
19.8%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 18.3% · Q3 20.7% · Q4 11.3% · 4Q avg 14.6% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.7%
1.1 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 3.4% · Q4 3.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.4% |
94.0%
28.6 pts worse
|
81.7%
16.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.3% · Q2 48.9% · Q3 66.7% · Q4 83.7% · 4Q avg 65.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.4% |
11.2%
10.2 pts worse
|
12.0%
9.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 24.2% · Expected 12.7% · Used in QM five-star |
| 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.9% |
93.2%
24.3 pts worse
|
79.7%
10.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
23.2%
0.3 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 24.2% · Expected 25.3% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-20
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-20
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-04-20
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-20
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-05
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 2021-11-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-11-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-29
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-11-29
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-11-29
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-11-29
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2021-11-29
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-11-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-29
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-11-29
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-11-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-11-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-11-29
Inspection history
Health
Post nurse staffing information every day.
Corrected 2025-04-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-08
Health
Provide activities to meet all resident's needs.
Corrected 2025-04-08
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 2025-04-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-08
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-04-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-04
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 2024-05-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-12
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-12
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-05-12
Health
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.
Corrected 2024-05-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-12
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 2024-05-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-11
Health
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.
Corrected 2022-03-04
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-03-04
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 2022-03-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-04
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-03-04
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-03-04
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-04
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-03-04
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-03-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-03-04
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-03-04
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 2022-03-04
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-03-04
Health
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.
Corrected 2022-03-04
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 2022-03-04
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-03-04
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-03-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Chowchilla, CA
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
Madera, CA
4-star overall rating with 4-star inspections with $41,597 in total fines with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Merced, CA
5-star overall rating with 5-star inspections with 9 fire-safety deficiencies in the latest cycle
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