19 health deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fowler, CA
2-star overall rating with 2-star inspections with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1306 East Sumner Avenue, Fowler, CA
(559) 834-2542
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
49
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ajc Healthcare
Operator or chain grouping
Approved since
1973-07-01
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
0.26
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.92
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.31
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.75
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.24
CMS adjusted RN staffing hours
Adjusted total hours
3.94
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
45%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
6,934
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9864
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
3.35
Baseline 58.54% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 2.03
Adjusted total nurse staffing
2.91
Baseline 3.40 hours · Performance 3.91 hours · Measure score 2.91 · Achievement 2.91 · Improvement 1.64
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | 53.18% |
50.57%
2.6 pts better
|
No Different than the National Rate · Eligible stays 26 · Observed rate 38.46% · Lower 95% interval 33.25% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 93.1% |
95.27%
2.2 pts worse
|
Numerator 27 · Denominator 29 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 29 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 3.45% |
2.29%
1.2 pts worse
|
Numerator 1 · Denominator 29 · Adjusted rate 2.38% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 6.67% |
8.2%
1.5 pts worse
|
Numerator 5 · Denominator 75 |
| Staff flu vaccination coverage | 49.41% |
42%
7.4 pts better
|
Numerator 42 · Denominator 85 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 97.6% |
98.2%
0.6 pts worse
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
1.6%
1.8 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.9% · Q3 5.9% · Q4 2.7% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
6.8%
2.1 pts better
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.6% · Q3 9.7% · Q4 3.1% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
4.1%
1.7 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.3% · Q3 0.0% · Q4 3.2% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.6% |
13.7%
7.9 pts worse
|
19.6%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 21.9% · Q3 20.0% · Q4 21.2% · 4Q avg 21.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.9% |
14.2%
10.3 pts better
|
16.7%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · 4Q avg 3.9% · 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 | 0.0% |
11.0%
11 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.6% |
10.7%
3.1 pts better
|
14.9%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 15.4% · Q4 13.8% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.0%
0.1 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.2%
1 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 6.7% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.4% |
10.9%
7.5 pts worse
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 18.1% · Q3 11.9% · Q4 21.3% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.7%
3.2 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.4% · Q3 2.1% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
94.0%
2.6 pts worse
|
81.7%
9.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 90.0% · Q3 86.6% · Q4 93.8% · 4Q avg 91.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
11.2%
1.3 pts worse
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 12.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 2.1% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.0% |
93.2%
28.2 pts worse
|
79.7%
14.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
23.2%
2.5 pts better
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 25.0% · Expected 28.8% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (5 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Not marked corrected
Fire Safety
Have simulated fire drills held at unexpected times.
Not marked corrected
Fire Safety
Install corridor and hallway doors that block smoke.
Not marked corrected
Fire Safety
Meet requirements for the use of electrical equipment.
Not marked corrected
Fire Safety
Address subsistence needs for staff and patients.
Not marked corrected
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-10-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-24
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 2024-10-24
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-10-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-24
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-10-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-24
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-10-24
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-24
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-10-24
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-10-24
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-24
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-10-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-10-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-24
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 2021-06-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-06-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-06-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-06-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-06-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-06-08
Inspection history
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.
Not marked corrected
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Not marked corrected
Health
Dispose of garbage and refuse properly.
Not marked corrected
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Not marked corrected
Health
Ensure medication error rates are not 5 percent or greater.
Not marked corrected
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.
Not marked corrected
Health
Ensure each resident receives an accurate assessment.
Not marked corrected
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Not marked corrected
Health
Post nurse staffing information every day.
Not marked corrected
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Not marked corrected
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Not marked corrected
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Not marked corrected
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Not marked corrected
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Not marked corrected
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-16
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-01-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-16
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-01-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-19
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 2025-02-19
Health
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.
Corrected 2024-10-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-28
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-10-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-28
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 2024-10-28
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 2024-10-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-28
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-10-28
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-10-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-04
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-07-04
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-07-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-06-21
Health
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.
Corrected 2021-06-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-06-21
Health
Provide activities to meet all resident's needs.
Corrected 2021-06-21
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2021-06-21
Health
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.
Corrected 2021-06-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-06-21
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 2021-06-21
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-06-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-06-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-06-21
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-06-21
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-21
Health
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2021-06-21
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2021-06-21
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
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